DR. James Keith Ballard JR., DMD

NPI #1003309311 in Brookhaven, Mississippi

Provider Information

NPI Number: 1003309311
Entity Type: Individual
Name: DR. James Keith Ballard JR., DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 11, 2018
Last Updated: Jun 11, 2018

Practice Location

Address: 706 BROOKWAY BLVD
City: Brookhaven
State: Mississippi
ZIP Code: 39601-2640
Phone: (601) 823-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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